| LCA CASE NUMBER | I-200-21098-206568 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-07 |
| DECISION DATE | 2021-04-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Actuarial Risk Adjustment Specialist |
| SOC CODE | 15-2011.00 |
| SOC TITLE | Actuaries |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-15 |
| END DATE | 2024-09-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PacificSource |
| EMPLOYER ADDRESS1 | 555 International Way |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97477 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15412253746 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Dunham |
| EMPLOYER POC FIRST NAME | Mark |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS 1 | 555 International Way |
| EMPLOYER POC CITY | Springfield |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97477 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15412253704 |
| EMPLOYER POC EMAIL | mark.dunham@pacificsource.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peng |
| AGENT ATTORNEY FIRST NAME | Leo |
| AGENT ATTORNEY ADDRESS1 | 1111 Third Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 3000 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12064474400 |
| AGENT ATTORNEY EMAIL ADDRESS | immgroup@foster.com |
| LAWFIRM NAME BUSINESS NAME | Foster Garvey PC |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 408 E. Parkcenter Blvd |
| LCA CASE WORKLOC1 CITY | Boise |
| WORKSITE COUNTY | ADA |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83706 |
| LCA CASE WAGE RATE FROM | 77250 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 58365 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Borroff |
| PREPARER FIRST NAME | Silviya |
| PREPARER MIDDLE INITIAL | D. |
| PREPARER BUSINESS NAME | Foster Garvey PC |
| PREPARER EMAIL | immgroup@foster.com |